Table 1.
Risk factors and etiologies of acute kidney injury in critically ill patients with cancer
| Patient-specific risk factors | Cancer-related risk factors |
|---|---|
| Age > 65 yr | Neutropenia and resulting sepsis |
| Underlying CKD | Post-nephrectomy for RCC |
| Diabetes mellitus | Hematological cancers |
| Potential nephrotoxin medications (NSAIDs, ACEi, ARBs) | Urinary tract obstruction |
| Post-HSCT | |
| Comorbid conditions (such as cirrhosis, heart failure, nephrotic syndrome) | Thrombotic microangiopathy |
| Tumor lysis syndrome | |
| Hypercalcemia | |
| Paraneoplastic glomerular diseases | |
| Chemotherapy toxicities |
Individual risk for acute kidney injury is due to a combination of host and cancer-related factors.
ACEi, angiotensin converting enzyme inhibitor; ARB, angiotensin receptor blocker; CKD, chronic kidney disease; HSCT, hematopoietic stem cell transplant; NSAIDs, non-steroidal anti-inflammatory drugs; RCC, renal cell cancer.